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PODCAST

Joint Action

David Hunter, PhD, FRACP (Rheum)

Joint Action is a podcast hosted by David Hunter.As a consequence of isolation, those living with osteoarthritis related disability may become less fit, more depressed and anxious, more socially isolated and gain weight. It is critical at times like this that people with osteoarthritis have their burden and disability minimised and their knowledge of how to manage the disease enhanced. Join David as he interviews the world"s leading experts in osteoarthritis.Professor David Hunter is a rheumatology

health & fitness medicine

All Episodes

3:11

A wrap for 2021

Joint Action ·

2021/12/26

That's a wrap for 2021! We will be back on January 17th with a brand new season. If you haven't already, please subscribe to the podcast so you don't miss out on new episodes! We would also be very grateful if you could leave us a review :)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

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32:31

Platelet-rich plasma injections for knee...

Joint Action ·

2021/12/12

We recently published the results from a large randomised controlled trial investigating the effects of platelet-rich plasma for knee osteoarthritis. On this episode, we are joined by Prof Kim Bennell to discuss the results of the study.Prof Kim Bennell is a research physiotherapist and her current positions include Redmond Barry Distinguished Professor and Director of the Centre for Health, Exercise and Sports Medicine (CHESM), in Physiotherapy at the School of Health Sciences, University of

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48:04

Empowering patients to take control of their...

Joint Action ·

2021/11/28

Living with a musculoskeletal condition such as arthritis is not easy. The associated symptoms such as pain and stiffness make everyday activities that once seemed easy, challenging. It is important that those living with arthritis are educated and empowered to make decisions about the management about their condition and healthcare. However, this is not always the case with studies showing that only one-third of patients seeking care for their osteoarthritis are satisfied with their treatment

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39:27

Do you really need surgery for your knee...

Joint Action ·

2021/11/14

The number of surgical procedures for musculoskeletal diseases such as osteoarthritis has increased exponentially over the past years, some of which are unnecessary and leave patients no better off than they were before. Knee replacement surgery can be a wonderful and cost-effective treatment for end-stage osteoarthritis but only when less invasive treatments have failed. There are many factors driving the alarming rates of increased surgery ranging from system-level factors such as inadequate

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37:59

Health system redesign and value-based primary care...

Joint Action ·

2021/10/31

Although research has consistently demonstrated what is required to manage osteoarthritis appropriately, this is not the reality experienced by most. The current treatment for osteoarthritis is often reactive, using treatments which are not beneficial and often harmful and expensive to patients.The limitations in the current health system call for new models of osteoarthritis care to support ongoing symptom relief and self-management that are proactive and preventative. Re-engineering our health

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32:28

Osteoarthritis online resources with Dr Jillian Eyles...

Joint Action ·

2021/10/17

The COVID-19 pandemic has forced us to shift how we deliver care to those living with osteoarthritis. There has been an increasing number of online resources including websites, decision aids, remotely delivered programs and podcasts such as Joint Action which have become increasingly popular in the past year. With the numerous resources available, how do we know which programs are suitable and evidence-based?The OARSI Joint Effort Initiative is a collaboration between international clinicians and

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43:50

The role of biomarkers in osteoarthritis with Dr...

Joint Action ·

2021/10/03

Biological markers or commonly referred to as biomarkers are biological measures or medical signs which can be measured accurately and reproducibly in patients. Examples of biomarkers can be anything from pulse and blood pressure to more complex blood tests and other tissues. There are different types of biomarkers including systemic and molecular biomarkers and the investigation of these provide potential targets for developing osteoarthritis disease-modifying drugs.On this episode of Joint Action,

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40:20

The impact of sleep on osteoarthritis and how you can...

Joint Action ·

2021/09/19

Sleep disturbances are common in those with osteoarthritis. Research has postulated that poor night time sleep is associated with increased pain the following day and that sleep disturbances are associated with increased risk for developing or worsening pain in the long-term. The interactions between pain and sleep are complex. On this episode of Joint Action, we are joined by Peter Cistulli to discuss the relationship between sleep and pain and how we can improve sleep. Professor Peter Cistulli

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36:17

The role of bariatric surgery for people with...

Joint Action ·

2021/09/05

The prevalence of osteoarthritis continues to grow with the increasing rates of obesity. Obesity is a major risk factor for the progression of osteoarthritis and those who are obese are at an increased risk for requiring a total knee replacement.By preventing weight-related osteoarthritis as well as helping to manage people’s weight, we may be able to reduce the burden of OA. The effects of weight loss on knee osteoarthritis pain have been well established, however, is difficult to achieve for most

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54:39

Where does osteoarthritis pain come from? with Prof...

Joint Action ·

2021/08/22

Managing osteoarthritis pain remains a challenge for patients and clinicians. Non-steroidal anti-inflammatory drugs are often used despite the potential risk associated with long-term use. In recent years, new advances have led to the exploration of central acting medications such as duloxetine for osteoarthritis pain. Despite this, those with OA continue to suffer from inadequate pain relief. By better understanding the pathways which influence pain, we may be able to better treat OA pain by

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47:36

Getting people to do what is good for their health:...

Joint Action ·

2021/08/08

Despite the numerous guidelines supporting exercise and weight loss/management for osteoarthritis, they are challenging to implement in day-to-day life. Key actions for management are often not reaching health care providers and patients do not always receive high-value care. One of the biggest barriers to behaviour change is getting people to start and adhere to a lifestyle intervention. On a systems level, there are major challenges with access to care and communication regarding optimal care. On

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1:15:25

A physiotherapist's role in managing osteoarthritis...

Joint Action ·

2021/07/25

Physiotherapists play an important role in osteoarthritis management. A good physiotherapist can aid in the reduction of OA symptoms, however, one major ongoing issue is the problem of low-value healthcare. Low value healthcare are treatments which broadly encompasses passive modalities such as interferential current, ultrasound, unnecessary imaging in favour of high value treatments such as exercise. Low value care can lead to treatments that provide little to no benefit or even harm to patients.On

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36:30

Steroid injections for osteoarthritis - harmful or...

Joint Action ·

2021/07/11

Osteoarthritis pain remains a large unmet clinical need. One common tool in the clinician’s armamentarium has been a steroid injection. They are widely used but recent evidence has questioned their efficacy for pain relief and potentially associated ongoing structural changes, including accelerating the underlying structural progression. On this episode of Joint Action, we will hear from Ali Guermazi and Margreet Kloppenburg about the harms and benefits of steroid injections for osteoarthritis. Dr

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43:45

Sticks and stones may break my bones but words may...

Joint Action ·

2021/06/27

The way in which people talk about their osteoarthritis is varied and this is reflected in their attitudes towards health and healthcare. This provides great insight into what the condition means to patients but ultimately how they are able to cope and manage their symptoms. For example, using terms such as “wear and tear” or “worn out” often discourages patients to be actively involved in the management of their condition. Dr Samantha Bunzli joins us on this week’s episode of Joint Action to

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39:45

Osteoarthritis orthobiologics with Dr Brian Cole

Joint Action ·

2021/06/13

Orthobiologics such as platelet-rich-plasma, and stem cells have gained popularity as treatments for knee osteoarthritis over recent years. Orthobiologics are cells, blood components or growth factors which claim to promote healing and decrease inflammation. Platelet rich plasma and stem cell injections are an expensive treatment and there is a paucity of rigorous evidence to support the use of them in people with OA. On this episode of Joint Action, we are joined by Dr Brian Cole to unpack the

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32:32

A chat with David and osteoarthritis listener questions

Joint Action ·

2021/05/30

The Joint Action podcast was launched in April 2019 during the COVID-19 pandemic and since then, we have grown our listener base to an international audience. We aim to bring evidence based and up-to-date knowledge about osteoarthritis to our listeners by interviewing the world’s experts in osteoarthritis. On this very special episode of Joint Action, we will be chatting to David to learn more about his story and also answer some of our listener questions. Professor Hunter is a rheumatology

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33:02

An osteoarthritis moonshot with Joyce Nabuurs and...

Joint Action ·

2021/05/16

The prevalence of osteoarthritis is increasing rapidly with the latest estimates suggesting 500 million people around the world are affected. The consequent disability and socioeconomic impact is an enormous. In that context of massive prevalence and disability we are faced with a disease where it’s most pressing presenting symptom, pain, remains largely an unmet need. With that background in mind there are huge opportunities here for advance.The Dutch Arthritis Society (DAS) has recently launched

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25:30

Meaghan's osteoarthritis journey

Joint Action ·

2021/05/02

One common misconception about osteoarthritis is that it is an old’s person disease. However, we know that osteoarthritis can affect younger persons as well. Meaghan Nixon is a martial artist who has practiced karate for over 20 years competing both nationally and internationally representing Australia. Career highlights include a silver medal in 2012 at the Shotokan Karate World Championships in Sydney and Captaining the Australian team at two world Championships. Meaghan has played a variety of

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31:55

The burden of osteoarthritis with Prof Gillian Hawker

Joint Action ·

2021/04/18

The impact of osteoarthritis remains a major challenge for healthcare systems worldwide with approximately 528 million people affected. The global prevalence of hip and knee OA is approaching 5% and expected to increase further with the aging population. The increasing rates of obesity in adults, combined with lack of physical activity and joint injuries are also contributing to the rise in OA incidence. Osteoarthritis is a serious condition which has substantial implications on one’s day-to-day

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42:40

Sex and gender differences in osteoarthritis with Dr...

Joint Action ·

2021/04/04

Osteoarthritis places a large burden on the individuals that are affected as well is to society as a whole. It is important to reflect that that burden is not distributed equally. The prevalence of osteoarthritis is higher amongst women compared to men. Women also experience higher rates of disease severity and disability. In an effort to better understand these disparities with the overarching focus being to improve health outcomes for all it is important to understand the influence of sex and

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